微创穿刺引流术与小骨窗开颅基底节区血肿清除术

目的比较微创穿刺引流术与小骨窗开颅术清除基底节区血肿的疗效。方法2009年3月—2013年3月采用微创穿刺引流术（穿刺组，n=40）或小骨窗开颅术（小骨窗组，n=40）治疗的80例基底节区出血患者的临床资料进行回顾性分析。结果穿刺组患者的手术时间、术中出血量和住院时间都显著小于小骨窗组患者。虽然穿刺组并发症发生率小于小骨窗组，但是无统计学意义。虽然两组患者治疗效果也无显著地差异，但是小骨窗组患者的远期生活质量显著高于穿刺组。结论小骨窗开颅术较微创穿刺引流术清除基底节区血肿具有更好的疗效，可提高患者的远期生活质量，值得在临床推广应用。

Comparison between the minimally invasive puncture drainage and the small bone window craniotomy for hematomas in basal ganglia region

Objective To compare the curative effect of the minimally invasive puncture drainage and small bone window craniotomy in treatment of hematomas in basal ganglia region. Methods We analyzed retrospectively the clinical data of the minimally invasive punc- ture drainage （ invasive group, n = 40） or the small bone window craniotomy （ small bone window group, n = 40）for treatment of 80 patients with hemorrhage in basal ganglia in tongcheng people＇s hospital from March 2009 to March 2013. Results The operation time, peri -operative bleeding and time of hospitalization in invasive group were significantly lower than those in small bone window group. More- over, the rate of complication in the invasive group was lower than that in small bone window group, but this difference was not statistically significant. Although there was no significantly difference in the curative effect between them, the long-term quality of life in small bone window group was significantly higher than that in invasive group. Conclusions The small bone window craniotomy in treatment of moderate amounts of hypertensive cerebral hemorrhage in basal ganglia had better curative effect compared with the invasive group. It can improve patients＇ long-term quality of life and is worthy of clinical promotion.